HomeMy WebLinkAboutCFR-01 thru 07.2012-SattlerTexas Ethics Commission P.O_ Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
Revised 09/01/2007
CANDIDATE if OFFICEHOLDER
FORM C/OH
CAMPAIGN
FINANCE REPORT
COVER SHEET PG 1
1 ACCOUNT#
2 Total pages filed:
The C/01.1 Instruction Guide explains howl to complete this form.
(Ethics
Commission filers)
3
CANDIDATE/
MS / MRS / MR FIRST
MI
PIC C15E_Q[�),
OFFICEHOLDER
NAME
/
& AM
y
NICKNAME. . 4 LAST 4 . . . . . .
. . . SUFFIX
D E
lil-
lL
JUIL 16 2012
ADDRESS / PO BOX; APT! SUITE #; CITY;
STATE; ZIP CODE
4 CANDIDATE /
OFFICEHOLDER
MAILING
) �
ADDRESS
eliv s r
Change of Address
_
AREA CODE PHONE NUMBER
`7f &
EXTENSION
5 CANDIDATE/
OFFICEHOLDER
PHONE
/
Receipt # Amount
_.
Date Processed
6
CAMPAIGN
MS/MRS/MR FIRST
MI
TREASURERS
t
Date Imaged
NAME
. . 4 0 h . . .
.
NICKNAME. LAST
SUFFIX
—7T7 /657/C
7
CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT/ SUITE #;
CITY; STATE;
ZIP CODE
TREASURER
/
ADDRESS
(Residence or business)
�^
o G-6 l
u J �6
8
CAMPAIGN
AREA CODE PHONE NUMBER
EXTENSION
TREASURER
PHONE
(
9
REPORTTYPE
January 15 � 30th day before election �
Runoff
� 15th day after campaign treasurer
appointment (officeholder only)
July 15 E� 8th day before election E�
Exceeded $500 limit
Final report (Attach C/OH - FR)
10
PERIOD
Month Day Year
Month Day
Year
COVERED/
5/7,0/2, —� THROUGH
/
/
/ v
11
ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
F-� Primary El
Runoff El
General Special
12
OFFICE
OFFICE HELD (if any) /cL e a°
13
OFFICE SOUGHT (if known)
14
NOTICE
OF DIRECT
Direct campaign expenditures are campaign expenditures
made by others without
the candidate's prior consent or approval.
CAMPAIGN
Candidates are required to disclose this information only if they receive notification of
the direct campaign expenditure. ••
EXPENDITURE
BY OTHER
Name
INDIVIDUALS
Address / PO Box; Apt. / Suite #; City; State; Zip Code
❑ additional pages
GO TO PAGE 2
Revised 09/01/2007
Texas Ethics Commission
P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
CANDIDATE/ OFFICEHOLDER REPORT:
FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
15 C/OF# NAME y
16ACCOUNT#
(Ethics Commission Filers)
17 NOTICE
•• This box is for notice of political expenditures by political committees to support the candidate /officeholder. These expenditures
FROM
may have been made without the candidate's orofficeholder's knowledge or consent. Candidates
and officeholders are required to report
POLITICAL
this information only if they receive notice of such expenditures. •-
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
GENERAL
COMMITTEE ADDRESS
SPECIFIC
❑ additional pages
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
18 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
$
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ s
EXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
TOTALS
$
4° TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE
OF REPORTING PERIOD
$
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and correct and includes all information required to be reported by
RIN BRE17LE me under Title 15, Election Code.
RY PUBLICof
Em
Texasp.
1-2015 020
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP ! SEAL ABOVE
1
Sworn to and subscribed before me, by the said 4 E a + 1 this the day
®
20 t to certify which, witness my hand and seal of office.
tS571 ` C t +4 1
4Sig
e of offs administering oath Printed name of officer administering oath Titf o
officer administerin oath
Revised 09/01/2007